Risk Adjustment Coding Specialist I
About The Position
Under the direction of Burden of Illness department leadership, the Risk Adjustment Coding Specialist is responsible for various aspects of decision-making and coding reviews to facilitate, obtain, validate, and reconcile appropriate provider documentation for clinical conditions that accurately reflect the severity of illness and complexity of patient care. This position is responsible for risk adjustment coding and quality assurance validation for the following programs, including but not limited to: Prospective medical record review Concurrent outpatient claim diagnosis coding Retrospective medical record and provider response reviews
Responsibilities
- decision-making
- coding reviews to facilitate, obtain, validate, and reconcile appropriate provider documentation for clinical conditions that accurately reflect the severity of illness and complexity of patient care.
- risk adjustment coding
- quality assurance validation for the following programs, including but not limited to: Prospective medical record review Concurrent outpatient claim diagnosis coding Retrospective medical record and provider response reviews
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed
